Individual
JACLYN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 W 3RD STREET RD, GREELEY, CO 80631-1548
(970) 347-2120
Mailing address
2350 W 3RD STREET RD, GREELEY, CO 80631-1548
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017559
CO
Other
Enumeration date
08/07/2019
Last updated
09/15/2021
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